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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br />I <br />1 <br /> <br /> <br />Fee Simple Titleholder Address I I <br /> <br /> <br />:~~~~ '~A:~D~~~-Q)\ trJ~-C:~~~\~ <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />~ NEWCONSTR ~ADD/ALT D SIGN 0 MOVE D <br />~ INSTALL t=1 REPAIR <br />D SFR D COMM D <br />~ CK D FRA D <br /> <br />DESCRIPTION OF WORK \C:)''\.... \-=.:S ~~\:.i ~ <br /> <br />1 I SQ FOOTAGE I ~~ I <br /> <br />11111111111111111111111111111111111111111111111111....11111111111111111111111111111111111.111111111111111".1IIIIII1IIIII1111111111111111111111111 <br /> <br /> <br />1~\\3?JS\ I <br /> <br />\ <br /> <br />1$ I <br /> <br />D PLUMBING 1$ I <br /> <br />D MECHANICAL 1$ I <br /> <br />D GAS D ROOFING D <br />FINISHED FLOOR ELEVATIONS 1 I <br /> <br />\\\~ <br />Owner's Address h~~~ \' ~ Cfu::\5\\)\L. ~ <br />Fee Simple Titleholder NamJ <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />BUILDING SIZE <br /> <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />~ <br />if <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY , D W.R.E.~ <br />~\{Q. ~~\. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />~bG~ <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />[~NO <br /> <br /> <br />;;; <br />_r <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />~~~~::~~~;9~\~~~1 <br />~ License # IU~a-:::)\-\~ <br />I~~<l~}-O~~i) I <br />License # I \ ~ I I <br />I <br />I <br />I <br /> <br />I <br />I <br />I <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />License # <br /> <br />YI N <br /> <br />FEE ClIRRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />OTHER <br />SIGNATURE <br /> <br />Y/ N <br /> <br />FEE ClIRRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />11111'1'1'11'1 '11111111111111111111111111111111111111111111111111111111111111111111111111111111'1111111111111111111111111111111111111'1"11111111 <br /> <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. <br /> <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />I J. I I I I ! I I I I I I I I I I I I I I I I I I I I I I I I I I . . I I I I I ~ . I I . I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I <br />DirectIOns: <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COONTER PERMITTING (Front of Application Only) <br /> <br />Reroofs Sewers Service Upgrades NC Driveways Fences (Plot/Survey/Footage) <br />